Active NPI
Jessica Hope Anastasio, PA-C
- Physician Assistant
- Orlando, FL
National Provider Identifier
1881976090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106154
- Practice address
- 11954 Narcoossee Rd # 202
Orlando, FL 32832-6998 - Phone
- (551) 574-3296
- NPI assigned
- Sep 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9106154 | FL | |
| Physician Assistant | 363A00000X | PA9106154 | FL | Primary |
Addresses
Primary practice location
11954 Narcoossee Rd # 202
Orlando, FL 32832-6998
Mailing address
11954 Narcoossee Rd # 202
Orlando, FL 32832-6998
Phone (551) 574-3296
Other practice location 1
1054 Gateway Blvd
Suite 110
Boynton Beach, FL 33426-8301
Phone (561) 738-4770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FK608Z | Other | FL | MEDICARE PTAN |
| 017943900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Orando, FL 32832
Phone (321) 414-4829
Hospital & facility affiliations
- Haven Home Health Care
- Advanced Nursing Concepts LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Care Physicians | Past | Accepting new patients |
Interoperability endpoints
- janastasio@mobiledermhealth.emadirect.md
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Orlando, FL
- NPI 1790550812
-
- Specialist
- Boynton Beach, FL
- NPI 1821125584
-
- Specialist
- Boynton Beach, FL
- NPI 1578606364
-
- Dermatology Physician
- Boynton Beach, FL
- NPI 1417099342
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Orlando, FL
- NPI 1942601737
-
- Home Health Agency
- Altamonte Springs, FL
- NPI 1588309603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1881976090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11954 NARCOOSSEE RD # 202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326998",
"telephone_number": "551-574-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11954 NARCOOSSEE RD # 202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326998",
"telephone_number": "551-574-3296"
}
],
"practiceLocations": [
{
"address_1": "1054 Gateway Blvd",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334268301",
"country_code": "US",
"telephone_number": "561-738-4770",
"fax_number": "561-738-9727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANASTASIO",
"first_name": "JESSICA",
"middle_name": "HOPE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2023-12-15",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9106154",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "FK608Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017943900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.